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ANALISIS KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS TIPE 2 RAWAT JALAN DI PUSKESMAS KAMPUNG BANGKA PONTIANAK TENGGARA PERIODE JULI 2017 - DESEMBER 2018 Malfirani, Laila; ., Nurmainah; Purwanti, Nera Umilia
Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN Vol 4, No 1 (2019): Jurnal Farmasi Kalbar
Publisher : Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN

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Abstract

Prevalensi penderita pasien diabetes melitus di Kalimantan Barat mencapai 5,3% pada tahun 2017. Salah satu cara untuk menekan prevalensi diabetes melitus dengan cara menjalani pengobatan secara patuh dan terus-menerus sepanjang hidupnya. Penelitian ini bertujuan untuk mengetahui pengaruh faktor usia, jenis kelamin, dan regimen terapi terhadap kepatuhan pengobatan pasien diabetes melitus tipe 2 rawat jalan di Puskesmas Kampung Bangka Pontianak Tenggara. Penelitian ini menggunakan metode observasional analitik dengan rancangan penelitian studi kohort yang dilakukan secara retrospektif terhadap 58 pasien diabetes melitus tipe 2 yang menggunakan obat antidiabetes pertama kali selama tanggal 01 Juli-31 Desember 2017 (tanggal indeks pengamatan) dan diikuti proses perjalanan pengobatan diabetes melitus tipe 2 sampai pasien menghentikan penggunaan obatnya atau akhir pengamatan (31 Desember 2018). Pengukuran kepatuhan pengobatan yang digunakan adalah Medication Possesion Ratio (MPR). Data dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan kepatuhan penggunaan obat antidiabetes lebih besar terjadi pada pasien kategori usia >45 tahun (26,8%), perempuan (23,5%), dan pasien yang menggunakan monoterapi (21,6%). Analisis chi-square menunjukkan tidak terdapat hubungan signifikan antara faktor usia (p=0,088), jenis kelamin (p=0,744), regimen terapi (p=1,000). Dari penelitian ini dapat disimpulkan bahwa usia, jenis kelamin, dan regimen terapi tidak berpengaruh terhadap kepatuhan pengobatan pasien diabetes melitus tipe 2.
EVALUASI PENERAPAN STANDAR PELAYANAN KEFARMASIAN DI APOTEK - APOTEK KABUPATEN KUBU RAYA TAHUN 2018 Hairunnisa, Syarifah; Purwanti, Nera Umilia; Desnita, Rise
Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN Vol 5, No 1 (2021): Jurnal Farmasi Kalbar
Publisher : Jurnal Mahasiswa Farmasi Fakultas Kedokteran UNTAN

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Abstract

Standar Pelayanan kefarmasian menjadi tolak ukur atau pedoman bagi tenaga kefarmasian untuk memfasilitasi peningkatan kesehatan masyarakat. Penelitian ini bertujuan untuk mengetahui apakah telah menerapkan dan besarnya gambaran penerapan Standar Pelayanan Kefarmasian di Apotek-Apotek Kabupaten Kubu Raya Tahun 2018 berdasarkan Permenkes No 73 Tahun 2016 tentang standar pelayanan kefarmasian di apotek. Penelitian ini menggunakan rancangan penelitian non-eksperimental deskriptif dengan pendekatan potong lintang (cross sectional). Pengambilan sampel dilakukan secara purposive sampling sehingga melibatkan 17 apotek yang memenuhi kriteria inklusi. Pengumpulan data dilakukan cara wawancara menggunakan lembar pedoman wawancara kepada responden. Hasil penelitian menunjukkan bahwa penerapan standar pelayanan kefarmasian di apotek tempat penelitian pada pengelolaan sediaan farmasi, alat kesehatan, bahan medis habis pakai sebesar 85% tergolong sangat baik, penerapan standar pelayanan farmasi klinik sebesar 61% tergolong cukup, dan penerapan standar sumber daya kefarmasian sebesar 84% tergolong sangat baik. Kesimpulannya apotek-apotek di Kabupaten Kubu Raya belum sepenuhnya menerapkan standar pelayanan kefarmasian di apotek berdasarkan Permenkes RI No.73 Tahun 2016.
Increasing Knowledge and Promoting Better Attitude towards Appropriate Self-Medication in Sungai Ambawang Community through CBIA eka kartika untari; Robiyanto Robiyanto; Pratiwi Apridamayanti; Muhammad Akib Yuswar; Rafika Sari; Nera Umilia Purwanti; Ressi Susanti
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 7, No 2 (2021): June
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2176.744 KB) | DOI: 10.22146/jpkm.41993

Abstract

Self-medication practice in the community tends to increase. One of the factors that influence this trend is the variation of non-prescription drugs and advertisements. Although in self-medication people are allowed to determine their own medication, but it has the potential to create problems. Sungai Ambawang Sub-district is one of the trans Kalimantan; accordingly the medicine products from outside West Kalimantan can be transported through this area. This community service activity (PKM) aimed to increase knowledge and encourage positive attitudes, so that their behavior of self-medication becomes appropriate. This PKM was carried out by the method of communitybased interactive approach (CBIA) in 2 steps. This activity involved 66 community health center cadres. The participants’ knowledge and attitude were measured twice (pretest and posttest) through questionnaires, then analyzed descriptively and statistically using the Wilcoxon test. The observations showed that most of the participants had bought medicines without a prescription for self-medication (78.7%), obtained the medicine from pharmacies (65.2%), purchased medicines over the counter (45.4%), and frequently used analgesic-antipyretics (77%). The results of the Wilcoxon test showed that there were significant differences between knowledge and attitudes before and after CBIA intervention. Based on the results of this intervention, it was concluded that the CBIA intervention done as the PKM activity could increase knowledge and encourage positive attitudes regarding appropriate self-medication practices.
Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Berdasarkan Terapi Antidiabetik Aulia Dwi Rahmadani; Nera Umilia Purwanti; Muhammad Akib Yuswar
Journal Syifa Sciences and Clinical Research Vol 4, No 2 (2022): Volume 4 Edisi 2 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i2.14400

Abstract

Diabetes Mellitus (DM) is a metabolic disease characterized by hyperglycemia. Ninety percent of DM cases are type 2 DM. DM patients often receive effective treatment but have not been able to control glucose levels, this causes the quality of life of DM patients to decrease. This study aims to assess the quality of life of type 2 DM patients based on antidiabetic therapy used at the Siantan Hilir Health Center, Pontianak City in December 2021-January 2022. The research method used was observational with a cross-sectional design. Data was collected using purposive sampling technique and 30 patients met the inclusion criteria. The research data was obtained using the Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ). The results of the questionnaire will be converted into numbers to get a score which will be processed into the average for each domain and the total value of quality of life. Quality of life is said to be low if the value is 62.2 which is obtained from the average total value of quality of life. More patients received monotherapy (62.69%) than combination therapy (37.31%). The most widely used type of therapy was metformin (52.24%). The quality of life of patients with type 2 DM with monotherapy is higher than the quality of life of patients with combination therapy.
Pengukuran Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Menggunakan Instrumen Diabetes Quality Of Life Clinical Trial Questionnaire (DQLCTQ) Siti Nurhaliza; Nera Umilia Purwanti; Muhammad Akib Yuswar
Journal Syifa Sciences and Clinical Research Vol 4, No 2 (2022): Volume 4 Edisi 2 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i2.14404

Abstract

Diabetes mellitus is a chronic disease that is not contagious. Diabetes mellitus can be characterized by high blood sugar levels accompanied by disorders of carbohydrate, lipid, and protein metabolism that can trigger the risk of complications of other diseases. This is have an impact on the quality of life of people with type 2 diabetes mellitus. This study aimed to measure the quality of life of patients with type 2 diabetes mellitus at the Siantan Public Health Center using the Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ).) This study used an observational method with a cross-sectional and prospective design. The data were collected using the purposive sampling technique by fulfilling the inclusion and exclusion criteria. Data analysis was carried out in this study, namely the scoring of the questionnaire, and the results were interpreted descriptively. The results of measuring the quality of life in patients with type 2 diabetes mellitus at the Siantan Tengah Health Center were in the low category of 58.69% (27 respondents) and high category of 41.31% (19 respondents). Quality of life of patients based on the type of treatment carried out, the group of patients who received a single antidiabetic drug had a quality of life value above the average value necessarily wordy.
Aplikasi Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) Untuk Mengukur Tingkat Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Arva Rizqa Maharani; Nera Umilia Purwanti; Muhammad Akib Yuswar
Journal Syifa Sciences and Clinical Research Vol 4, No 2 (2022): Volume 4 Edisi 2 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i2.14411

Abstract

Diabetes mellitus type 2 is a chronic disease that can not be completely cured, which is characterized by the increasing of glucose level in blood or hyperglycemia. Diabetes mellitus type 2 has a deficient impact on the quality of life. The aim of this study is to determine the profile of therapeutic treatment and the quality of life of patients with diabetes mellitus type 2 at Siantan Hulu Public Health Center. This research is a descriptive study with a cross sectional method using Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) which consists of 8 domains. The data is collected by using purposive sampling technique with 67 patients as the respondents. The result of the questionnaire is converted into numbers for scoring. The quality of life is determined to be low if the value is 59 which is obtained from the average of the quality of life total value. The quality of life of patients with diabetes mellitus type 2 at Siantan Hulu Public Health Center has 16 respondents with a low quality of life (53,33%) and 14 respondents with a high quality of life (46,67%) The quality of life of patients with diabetes mellitus type 2 at Siantan Hulu Public Health Center is still relatively low. The characteristics of patients with low quality of life are female, 45 years old, are at the elementary school level, do not work, and and have a widow/widower status.
Kejadian Obat-Obatan Penginduksi Kerusakan Liver pada Pasien Sirosis Rawat Inap di RSUD Dokter Soedarso Kalimantan Barat Robiyanto Robiyanto; Jesica Liana; Nera Umilia Purwanti
Jurnal Sains Farmasi & Klinis Vol 6, No 3 (2019): J Sains Farm Klin 6(3), Desember 2019
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (737.567 KB) | DOI: 10.25077/jsfk.6.3.274-285.2019

Abstract

Potensi terjadinya hepatotoksisitas karena penggunaan obat merupakan masalah klinis yang perlu diperliverkan. Risiko ini dapat menyebabkan bertambah parahnya penyakit liver yang diderita oleh pasien yang memang sudah menderita penyakit liver tertentu. Penelitian ini bertujuan untuk menentukan jenis obat yang paling berpotensi menginduksi kerusakan liver atau drug-induced liver injury (DILI) dan persentase peresepan obat berdasarkan kategori Likelihood Scores (A. B. C. D. E. E*. X). Penelitian ini merupakan penelitian observasional deskriptif dengan desain cross-sectional. Pengambilan data dilakukan secara retrospektif melalui rekam medik pasien sirosis rawat inap tahun 2017. Sebanyak 36 pasien sirosis yang memenuhi kriteria inklusi diambil sebagai sampel penelitian. Analisa data menggunakan LiverTox database (https://livertox.nih.gov/) untuk mengetahui kategori Likelihood Scores dari masing-masing obat. Hasil penelitian menunjukkan jenis obat yang paling banyak diresepkan dan berpotensi menginduksi kerusakan liver adalah paracetamol (kategori A), ranitidin (B), cetirizin (C), spironolakton (D), furosemid (E), dan ketorolac (E*). Persentase peresepan obat berdasarkan Likelihood Scores kategori A=1.7%. B=11.6%. C=0.4%. D=13.7%. E=23.6%. E*=3.4% dan X=32.2%. Dapat disimpulkan bahwa peresepan obat yang berpotensi menginduksi keparahan fungsi liver (kategori A.B.C.D.E.E*) pada pasien sirosis rawat inap di RSUD dr. Soedarso Pontianak masih tergolong tinggi (54.4%) dan memerlukan pertimbangan klinis yang hati-hati.
Evaluasi Penggunaan Antibiotik untuk Terapi Infeksi Saluran Kemih (ISK) pada Pediatri di Instalasi Rawat Inap Rumah Sakit Sermila Wulandari; Nera Umilia Purwanti; Ressi Susanti
Journal Syifa Sciences and Clinical Research Vol 4, No 2 (2022): Volume 4 Edisi 2 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i2.14796

Abstract

Urinary tract infection (UTI) is infection caused by the presence of microorganism in the urinary tract that multiply. Treatment of urinary tract infection can use antibiotic therapy andi if not done properly can cause resistance. This study aimed was to evaluate the use of antibiotics for the treatment of urinary tract infections in pediatrics at the Sultan Syarif Mohamad Alkadrie Inpatient Installation in January 2019-December 2020. This study is a descriptive observational research with a retrospective approach. The sampling technique used purposive sampling  and the number of samples that met the inclusion criteria was 76 patients. Data obtained from  medical records analyzed using Microsoft Excel based on 4T criteria ( right indication , right patient , right medicine , and right dose) refers to Guidelines On Urological Infections from European Association Of Urology Year 2015, Pediatric Dosage Handbook (PDH), and Guidelines for Medical Services of the Indonesian Pediatrician Association in 2009. The result showed that the evaluation the use of antibiotics was based on the right indications 100% (very good), right patient 100% (very good), right medicine 100% (very good), and right dose 55,3%  (pretty good). The use of antibiotics for UTI patients at Sultan Syarif Mohamad Alkadrie Hospital still needs increased again , especially in terms of administering antibiotic dose.
Rasionalitas Penggunaan Obat Pada Pasien GERD di Instalasi Rawat Jalan Rumah Sakit Nurul Aisiyah; Muhammad Akib Yuswar; Nera Umilia Purwanti
Journal Syifa Sciences and Clinical Research Vol 4, No 3 (2022): Volume 4 Edisi 3 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i3.15364

Abstract

The prevalence of Gastroesophageal Reflux Disease (GERD) is increasing every year. Inaccuracy of indication, drug, dose, route of administration, and time interval of administration can lead to failure of therapy. The purpose of this study was to evaluate the rationality of drug use in GERD patients in the outpatient installation of RSUD dr. Soedarso Pontianak. This research method is descriptive observational with cross sectional design. Data collection was carried out retrospectively by looking at the medical records and prescriptions of GERD patients for the period 2020-2021. The samples used in the study were 60 samples that met the inclusion criteria. The results showed that the percentage of rationality in patients without comorbidities was based on 100% correct indication, 93,33% correct drug, 100% correct dose, 100% correct route of administration, and 100% right time interval for administration and with comorbidities based on correct indication 100%, 40% right drug, 100% right dose, 100% right route of administration, and 100% right time interval for administration.
Pola Penggunaan Obat Diare Akut Pada Balita di Rumah Sakit Sofia Futria Wulandari; Muhammad Akib Yuswar; Nera Umilia Purwanti
Journal Syifa Sciences and Clinical Research Vol 4, No 3 (2022): Volume 4 Edisi 3 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i3.15445

Abstract

The prevalence of diarrhea in Indonesia based on the diagnosis of health workers reached 6.8% in 2018. Generally attacks toddlers under the age of 5 years because the toddler's immune system is still in the weak category, making them more susceptible to exposure to bacteria that cause diarrhea. The most cases of diarrhea in Indonesia are cases of acute diarrhea. This study aims to determine the pattern of use of acute diarrhea medication in toddlers at Sultan Syarif Mohamad Alkadrie Hospital Pontianak in 2020. This study used a descriptive observational method with a cross-sectional research design. Retrospective data collection using purposive sampling method. The results showed that the characteristics of patients by gender who suffered the most from acute diarrhea were women (55%), the most age group was 0-1 year (30%), the type of diarrhea that most suffered was acute diarrhea without dehydration (51, 25%) and the most felt clinical symptoms were liquid defecation and fever (44.20% and 20.99%). The most widely prescribed drug to treat acute watery diarrhea was zinc (27.97%). The conclusion in this study is that the most widely prescribed drug to treat acute diarrheal disease in toddlers is zinc.